Individual
ALISSA HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1291 N IZARD LN APT 205, FAYETTEVILLE, AR 72704-4806
(479) 636-3190
Mailing address
1291 N IZARD LN APT 205, FAYETTEVILLE, AR 72704-4806
(479) 636-3190
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/23/2026
Last updated
06/23/2026
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